Dear Future MRC Volunteer, Thank you for your interest in becoming a volunteer with the Thurston County Medical Reserve Corps (MRC). We want to make it as easy as possible to become a volunteer member. Recognizing our high responsibility to our community and the unique qualifications of our volunteers, we require that all who wish to volunteer with the MRC undergo a complete eligibility screening and verification of credentials. The forms attached will provide the information we need and will enable us to contact you about volunteer opportunities.

Below is a checklist of items to complete (available below):

Volunteer Information/Release Form

Code of Conduct - All MRC are expected to follow the Code of Conduct when representing Thurston County MRC

WSP Form- Only fill out Part A: Subject Information. This form is to complete the Washington State Patrol background check. Your background check status will be updated in WAserv upon clearance.

Immunization Checklist- Due to the nature of some events and response assignments, required immunizations for all MRC are MMR, HepB, and Seasonal Influenza. Recommended immunizations are DPT/TD, IPV, Varicella, SARS-CoV-2, and TB testing.

Emergency Contact- In the unlikely event you are incapacitated, who we should contact.

WAserv Profile- Create your profile at www.waserv.org. Upload FEMA certificates, PREP Act authorization letter (if applicable), and other relevant documentation to WAserv as well.

Badge Photo- Insert or separately attach a passport style photo for the purpose of creating your MRC badge.

ELECTRONIC SIGNAUTRE AGREEMENT

The parties agree that this agreement may be electronically signed. The parties agree that the
electronic signatures appearing on this agreement are the same as handwritten signatures for the
purposes of validity, enforceability, and admissibility. If the volunteer chooses to opt out of the
electronic signature process and would prefer to physically sign the agreement, please email your
request to MRC@co.thurston.wa.us for instructions.

Signature (Typed or Signed ) *

clear

Date Signed: * +

Once all forms are reviewed you will be contacted by the MRC Coordinator for information on next
steps. Thank you for your interest in joining the Thurston County MRC, your willingness to serve is
appreciated.

More information about the MRC program can be found at

www.thurstoncountywa.gov/medical-reserve-corps

Questions regarding your application status or the MRC program can be sent to the MRC Coordinator at
MRC@co.thurston.wa.us